| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.07 | $94.05 | $121.73 | |
CareFirst
| Professional | $100.32 | $100.32 | $100.32 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Kaiser Permanente
| Professional | $143.21 | $143.21 | $143.21 | |
United
| Professional | $66.98 | $75.34 | $125.48 |